Date received (for internal use only) Estimate Request Client Contact Name: Company Name: Address: City: Country: Date: Fax Number: Phone Number (daytime): Phone Number (evening): Email Address: About the Project Project Description kitchen bathroom library pantry other: Budget (for developers the budget is based on a per unit basis) less than $10,000 $15,000 to $20,000 $30,000 to $40,000 $50,000 to $70,000 $10,000 to $15,000 $20,000 to $30,000 $40,000 to $50,000 $70,000 or more Project start date: Projected closing date: Site Address: City: Country: Type of construction new renovation addition partial addition (to existing room) Building type house townhouse apartment hotel other: Are you using an architect? Yes No (if yes) Architect name: phone number or email: Are you using an interior designer? Yes No (if yes) Designer name: phone number or email: Is this for your own residence? Yes No how long do you intend to live there? Additional details: Page 1 of 6
About the Room Please include a detailed floor plan or blueprint with exact measurments and dimensions Ceiling height: window height from floor: Any obstructions? Yes No (if yes) specify: Any radiators in the new cabinet areas? Yes No (if yes) specify (e.g. Under window, against a wall) : width: height: L location from wall: Is there in floor heating? Yes No wall material? drywall plaster stucco concrete other: General use of the kitchen How many people will be preparing food and/or cooking in your kitchen at the same time? Any persons with physical limitations that need consideration? Yes No specify: What secondary activities take place in your kitchen? computer usage message center planning desk other: study /homework tv/radio/media/cd children playing What items would you like to have special storage for? bottles cookbooks cutlery display items food wrapping glassware lids linen plasticware spices oil bottles vegetables wine bread other: bakeware cookware food cleaning supplies Without providing any special cabinets inserts, what other items would you like our designer to keep in mind while designing your kitchen? baking equipment flatware serving trays cookware other: cleaning supplies coffee station cooking utensils dishes glassware grill equipment hand appliances linens/towels other: paper products pet food food prep utensils boxed goods canned goods food wrapping material other: Are you planning on sorting & storing recyclables in your kitchens? Yes No number of bins: Please select available storage accessories and inserts: appliance garage rollouts cutlery tray plate rack vertical tray divider decorative fillers lazy susan swing out shelves wine rack cookware drawers microwave shelf drawer divider mixer lift pantry pull out recycle bin wide deep drawers spice rack towel bar trash can pull out cutting board Page 2 of 6
Other wishes: While our designers will do their best to accommodate your wish list, it is sometimes impossible to include all elements due to limitations dictated by space. Design information what style kitchen are you trying to achieve? american country warm contemporary sleek contemporary traditional old world european american formal unknown other: Cabinetry top alignment? 84 90 92 96 other: Varying heights in the wall cabinets? Yes No Crown molding? Yes No Light rail? Yes No level of detail in moldings: low average high unknown level of detail in full kitchen design: low average high unknown Sink(s) Number of sinks: top mount Undermount Number of sink bowls: 1 1 ½ 2 2 ½ 3 other: Sink cabinet in front of window? Yes No unsure other: Do you wish to have a seating area in your kitchen? Yes No Number of seats: Seating preference: Island Peninsula tabletop secured to base cabinet List island uses: preparing serving washing up cooking sitting eating Additional design feature requirements: open cabinets plate rack hutch decorative fillers furniture detailing valance floating shelves other: Special notes or details: Page 3 of 6
Cabinetry preferences (All our cabinets are frameless/european style) If you know the door name and the color you are looking for, please specify: If not, help us guide you through finding the perfect door style and finish in our lineup by completing this section. Door style: Slab door shaker raised panel shaker beadboard pillow door Door frame style: Tenon (French Cut) Miter No frame (Slab Door) Details or, explain the door style you are looking for: Door material: wood mdf thermofoil wood type: red oak white oak bamboo maple birch cherry Finishes wood Finish: natural finish stain stain & glaze paint paint & glaze Color: light light to medium medium medium to dark dark Finishing look: matte semi-gloss gloss MDF finish: paint paint & glaze Paint Color: light light to medium medium medium to dark dark Glaze intensity: light medium dark Finishing look: matte semi-gloss gloss Thermofoil: white Bisque wood look design color: Hardware Hardware required: Yes No For model number you can visit our supplier websites www.richelieu.com or www.amerock.com door hardware drawer hardware Notes: Page 4 of 6
Countertops type: corian granite zodiaq butcher block(maple) Same throughout? yes no specify: color name: Notes: Appliances Fridge: built-in free standing Custom door panel to match kitchen? yes no top mount bottom mount double door french door bottom freezer dimensions width: height: depth (without handle): depth (with handles): Dishwasher: yes no If Yes: built-in portable Custom door panel to match kitchen? yes no dimensions width: height: depth (without handle): depth (with handle): Range: yes no If Yes: free standing slide in dimensions width: height: depth (without handle): depth (with handle): Cook-top: yes no wall Oven: yes no single oven double oven combination oven/microwave other: Page 5 of 6
Appliances Microwave range-hood: yes no Free standing Microwave: yes no Trim kit included? yes no preferred location: above countertop below countertop in tall cabinet combined with oven on countertop Bar Fridge: yes no Preferred location: Custom door matching? yes no wine Cooler: yes no Preferred location: warming drawer: yes no Preferred location: Other appliances? yes no Preferred location: (if yes) please specify: Notes: Page 6 of 6